Community Health Plan of Washington offers provider orientation and training programs. Some training programs are mandatory and others are optional.

Provider Orientation

New Providers (Mandatory)
Established Providers (Optional)
Newly contracted providers must complete orientation within 90 days of their contract effective date. Established providers may access our orientation for a refresher and updates.

 

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Mandatory Training Programs

The Centers for Medicare and Medicaid Services (CMS) requires all care providers who treat patients enrolled in a Special Needs Plan (SNP) to complete annual Model of Care (MOC) training.

Model of Care Training must be completed by: Providers and staff who render routine care to members who are enrolled in the Special Needs Plan (i.e. MD, DO, ARNP, RN, LPN, etc.).

Patient Rights and Responsibilities & Advance Directives Training must be completed by: Providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).

Optional Provider Training Programs

Culturally and Linguistic Appropriate Service (CLAS) Training should be completed by all Healthcare workers(i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.). 

Member Billing Training should be completed by providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.). 

Training Workbooks

If you prefer on-site training, please email our Provider Relations Team to request an in-person training session.

CMS Fraud, Waste, and Abuse Training

You must also complete the CMS General Compliance and/or Fraud, Waste and Abuse Training and submit an annual Attestation to CHPW to attest that training has been completed.

CMS requires the following to be completed every year:

  • Complete General Compliance and/or Fraud, Waste and Abuse Training.
  • Maintain individual training documentation for all staff members (I.e. sign-in sheets, electronic certification, etc.).
  • Submit an Attestation form to CHPW, attesting that training requirements have been met.

As stated by CMS, there is one exception to the Fraud, Waste and Abuse training and education requirement. CMS implemented a “deeming” exception for an entity or an individual who is enrolled in Medicare Part A or B. This means that your training requirement for FWA is satisfied if you are enrolled in Medicare Part A or B; therefore, your annual attestation would only apply to General Compliance.

CMS General Compliance and/or, Fraud, Waste and Abuse Training must be completed by: Providers and all staff (I.e., MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistant, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.). 

Fill out your attestation online or submit a PDF:

To access our FAQ on General Compliance, Fraud, Waste and Abuse, and the Attestation process, click on the following link:

Providers will be required to complete General Compliance and/or Fraud Waste, and Abuse training using CMS materials. The link below includes CMS’s training for General Compliance and/or Fraud, Waste and Abuse. Upon completing the training, submit your Attestation to CHPW as directed above.

Go to CMS General Compliance and/or Fraud, Waste, and Abuse Training

Fully Integrated Managed Care (FIMC) Education and Training

Effective April 1, 2016, Washington state is changing how it pays for delivery of physical health, mental health, and substance use disorder services through the Apple Health (Medicaid) program in Clark and Skamania counties. Learn more about what this means by reading our training guides below.

Community Health Plan of Washington Compliance Training

Providers and staff whose health or administrative job functions relate to Washington Apple Health or Medicare members are required to read about Community Health Plan of Washington’s compliance program: the Compliance Program. More information regarding compliance training can be found in the Provider Manual.

Community Health Plan of Washington Contact Info

Email our Provider Relations Team with questions regarding our training programs. One of our Provider Relations Representatives will contact you.

Access information on Care Management.

Access forms and tools for providers.